STAND. COM. REP. NO. 2636

Honolulu, Hawaii

RE: S.B. No. 3133

S.D. 1

Honorable Ronald D. Kouchi

President of the Senate

Thirty-Third State Legislature

Regular Session of 2026

State of Hawaii

Sir:

Your Committees on Health and Human Services and Commerce and Consumer Protection, to which was referred S.B. No. 3133 entitled:

"A BILL FOR AN ACT RELATING TO PREVENTIVE MEDICINE,"

beg leave to report as follows:

The purpose and intent of this measure is to:

(1) Establish the Hawaii Preventive Services Advisory Committee and authorize the Department of Health to issue preventive service recommendations;

(2) Require health insurance coverage without cost-sharing for Department of Health-recommended clinical preventive services; and

(3) Provide immunity for health care providers' and facilities' provision of recommended clinical preventive services.

Your Committees received testimony in support of this measure from the Department of Health, State Health Planning and Development Agency, Healthcare Association of Hawaii, Hawaii Medical Association, and AlohaCare.

Your Committees received testimony in opposition to this measure from two individuals.

Your Committees received comments on this measure from the Insurance Division of the Department of Commerce and Consumer Affairs.

Your Committees find that access to preventive medicine, including evidence-based clinical preventive services, is fundamental to maintaining and improving the health of the people of the State. Your Committees further find that clinical preventive services recommended by the Advisory Committee on Immunization Practices and by the United States Preventive Services Task Force, such as immunizations and other evidence‑based preventive interventions, are currently required to be covered by health insurance without cost‑sharing under the federal Patient Protection and Affordable Care Act. However, if these recommendations are withdrawn, invalidated, or otherwise no longer recognized under federal law, these preventive medical services may cease to be covered without cost-sharing. This measure helps ensure that the State's residents continue to have coverage without cost-sharing of evidence-based immunizations and certain other clinical preventive services for those who choose to receive them.

Your Committees have amended this measure by making technical, nonsubstantive amendments for the purposes of clarity and consistency.

As affirmed by the records of votes of the members of your Committees on Health and Human Services and Commerce and Consumer Protection that are attached to this report, your Committees are in accord with the intent and purpose of S.B. No. 3133, as amended herein, and recommend that it pass Second Reading in the form attached hereto as S.B. No. 3133, S.D. 1, and be referred to your Committees on Judiciary and Ways and Means.

Respectfully submitted on behalf of the members of the Committees on Health and Human Services and Commerce and Consumer Protection,

________________________________ JARRETT KEOHOKALOLE, Chair

________________________________ JOY A. SAN BUENAVENTURA, Chair